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Organization
WORCESTER PHYSICAL THERAPY SERVICES, INC.
Active
Organization
WORCESTER PHYSICAL THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LEDOUX (PRACTICE MANAGER)
(508) 791-8740
Entity
Organization
Contact information
Practice address
30 GLENNIE ST, WORCESTER, MA 01605-3917
(508) 791-8740
(508) 752-3716
Mailing address
30 GLENNIE ST, WORCESTER, MA 01605-3917
(508) 791-8740
(508) 752-3716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275644270
FALLON
MA
01
—
328820
CIGNA
MA
01
—
626330
HARVARD PILGRIM
MA
01
—
64029
AETNA
MA
01
—
712003
TUFTS
MA
05
—
9750983
—
MA
01
—
981075
NETWORK HEALTH
MA
01
—
Y61038
BLUE CROSS
MA
Enumeration date
08/31/2006
Last updated
12/08/2020
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